ANTOINETTE L PORTER

SUFFOLK, VA
NPI1154088110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA  0710103646)
Enumeration Date2021-11-24
Last Update Date2021-11-24
Business Address
ANTOINETTE L PORTER
1258 HOLLAND RD
SUFFOLK, VA 23434-6313
Phone number: 757-409-4771
Mailing Address
ANTOINETTE L PORTER
4009 MICHAEL DR
SUFFOLK, VA 23432-1436
Phone number:
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